Try Naxlex NCLEX-RN (Free-Trial)

The nurse is assessing a client with hypothermia who is on a ventilator and notes a temperature of 82.5°F (32.2°C). Drag from the list of possible interventions from the left to the right that are the most appropriate for the nurse to implement.

Placing warm blankets on the client

Decreasing temperature in the room

Warm intravenous (IV) fluids

Administer acetaminophen orally every 6 hours

Place a fan on the client

Warmed, humidified oxygen

Place on cardiac monitor

Using a radiant warmer

Monitor core temperature

Answer and Explanation

Correct Answer : A,C,F,G,H,L

A. Warm blankets provide external rewarming.
B. The room should be kept warm, not decreased.
C. Warm IV fluids prevent further heat loss and aid internal rewarming.
D. Acetaminophen is for fever reduction, not for hypothermia management.
E. A fan would worsen heat loss.
F. Warmed, humidified oxygen prevents further cooling and helps raise core body temperature.
G. Cardiac monitoring is essential since hypothermia increases the risk for arrhythmias.
H. A radiant warmer provides effective external rewarming.
I. Monitoring core temperature ensures safe and effective rewarming.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is ["B","C","E"]

Explanation

A. Peripheral neuropathy is associated with chronic hyperglycemia, not hypoglycemia. Decreasing insulin would worsen blood glucose control and neuropathy risk.

B. Loss of protective sensation (pain, temperature, pressure) predisposes the client to unnoticed injuries and subsequent infections.

C. As neuropathy progresses, numbness and impaired sensation increase the risk of foot ulcers going unnoticed until they worsen.

D. Peripheral neuropathy is a leading cause of diabetic foot ulcers; it is not limited to vascular disease alone.

E. Chronic hyperglycemia over years damages nerves, leading to neuropathy and increased ulcer risk.

A. The client drinks wine at night. B. The client takes acetaminophen for pain. C. The client has a body mass index (BMI) of 33. D. The client is of childbearing age.

Correct Answer is C

Explanation

A. Moderate wine consumption is not a contributing factor to knee pain, swelling, or crepitus.
B. Acetaminophen is commonly used for pain relief and does not cause joint damage or inflammation.
C. A BMI of 33 indicates obesity, which increases stress and mechanical load on weight-bearing joints such as the knees. This can lead to early onset of osteoarthritis, presenting with swelling, pain, and crepitus.
D. Being of childbearing age is not a risk factor for joint degeneration or knee crepitus

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Heart Rate	105 beats/minute.
Blood Pressure	130/85 mmHg
Pain	6 on a 0-10 scale
Temperature	101.3 F (38.5 C)
White Blood Cell (WBC)	12,000 mm3 (Ref: 4,000-10,000 mm3)
Platelet Count	150,000 mcl (Ret: 150,000-400,000 mcl)

Creatinine 1.8 mg/dL	Ref: 0.6-1.3 mg/dL
White blood cell (WBC) 16,000 mm3	Ref: 5,000-10,000 mm3
Platelet count 120,000	Ref: 140,000-400,000
C-Reactive Protein 5 mg/dL	Ref: <1 mg/dL

The nurse is assessing a client with hypothermia who is on a ventilator and notes a temperature of 82.5°F (32.2°C). Drag from the list of possible interventions from the left to the right that are the most appropriate for the nurse to implement.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who has peripheral neuropathy who has developed a foot ulcer. The client's caregiver asks, "How could this have happened?" What is the nurse's best response(s)? (Select all that apply)

Correct Answer is ["B","C","E"]

Explanation

The nurse is caring for a client who states they have swelling in their knee, pain, and crepitus after running. What part of the client's health history will the nurse note as a possible cause of their symptoms?

Correct Answer is C

Explanation

The emergency room nurse is admitting a client who is very drowsy. The client reports a sudden onset of fever, headache, vomiting and neck pain. The nurse notes a Glascow Coma Scale of 11. What is the priority nursing action

The nurse is caring for a client with dehydration with vital signs as follows: blood pressure 96/72, heart rate 106, respiration rate of 18 breaths/minute, and temperature of 101F. After receiving intravenous fluids, which assessment finding is the best way to determine improvement in fluid status?

The nurse is performing an assessment on a child with varicella and notices the child scratching the lesions. Which nursing intervention will the nurse perform to provide comfort at this time?

The nurse in the emergency department (ED) has just received a client with bright red emesis and a suspected stomach perforation related to peptic ulcer disease (PUD). What is the priority nursing action?

The nurse is caring for a client with cellulitis on the leg. Which statement by the client indicates a need for additional education regarding cellulitis?

The nurse is caring for a client who has just returned to the post-surgical unit following cholecystectomy for gallbladder disease. What assessment finding should the nurse immediately report to the health care provider?